输入型血吸虫性膀胱炎1例报告

A case of schistosomal cystitis

血吸虫性膀胱炎是一种由埃及血吸虫引起的泌尿生殖系统寄生虫病,常见临床表现为尿频、尿急、尿痛和终末血尿,新发感染者可表现为无症状。本病主要确诊方法为尿液镜检发现血吸虫卵,但在非活动期可出现假阴性结果。本病主要分布位于非洲和中东,我国罕有确诊病例报告。本文报道输入型血吸虫性膀胱炎1例。患者,男,苏丹籍,来华留学2年余。主要表现为持续性无痛性血尿6个月余。经膀胱镜检查诊断为膀胱肿物,行经尿道膀胱肿物切除术,术后经病理诊断为血吸虫性膀胱炎。

Schistosomiasis cystitis is a urogenital system disease caused by Schistosoma aegypt.Common clinical manifestations are frequent urination,urgency,dysuria,and terminal hematuria,but new infections can be asymptomatic.Detection of parasite eggs by urine microscopy is considered to be the gold standard for diagnosis,but the result may be a false negative in the inactive period.The main epidemic of this disease is located in Africa and the Middle East area.However,in china,there are few reports of confirmed cases.This article reports a case of imported schistosomiasis cystitis.The patient is a Sudanese,male,who has been studying in China for more than 2 years,mainly with persistent painless hematuria for more than 6 months.Cystoscopy was proposed to diagnose a bladder mass,and schistosomiasis cystitis was confirmed by pathological diagnosis after surgery.